Ultrasonographic evaluation of the distal femoral and talar cartilage thicknesses in patients with poliomyelitis: a cross-sectional observational study

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F20%3A10412620" target="_blank" >RIV/00216208:11110/20:10412620 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11130/20:10412620 RIV/00064165:_____/20:10412620

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=ZIoOzhf0Zn" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=ZIoOzhf0Zn</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.23736/S1973-9087.20.06127-4" target="_blank" >10.23736/S1973-9087.20.06127-4</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Ultrasonographic evaluation of the distal femoral and talar cartilage thicknesses in patients with poliomyelitis: a cross-sectional observational study

Popis výsledku v původním jazyce

BACKGROUND: Sequelae of poliomyelitis, coupled with asymmetric impairment and weight- bearing, typically alter walking biomechanics which can be associated with the knee and ankle osteoarthritis. AIM: We aimed to investigate whether the distal femoral and talar cartilage thicknesses were different in patients with poliomyelitis. DESIGN: Cross-sectional observational study. SETTING: Outpatients, tertiary care center. POPULATION: 36 patients (12 M, 24 F) with a history of poliomyelitis and 36 age-, gender- and body mass index-matched healthy subjects (11 M, 25 F) were enrolled. Mean values for age, body mass index and age of the poliomyelitis onset were 70.2+-4.6 years, 27.2+-5.7 kg/m2, and 3.6+-2.4 years. METHODS: Visual analogue scale (VAS) was used to assess pain. Lower limb muscle strengths were measured by manual muscle testing. The more affected side was identified according to the lower limb manual muscle testing. Bilateral distal femoral cartilage from the lateral femoral condyle, intercondylar area, medial femoral condyle and talar cartilage thicknesses were measured using ultrasound imaging. RESULTS: Among patients, the onset of poliomyelitis was at 3.6+-2.4 years of age, and Functional Ambulation Category scores were 5 (3-5). VAS scores were similar between the sides affected more and less by poliomyelitis. All cartilage thicknesses (except the talar cartilage) of the patients were found to be thinner on the more affected side than the less affected side (all p&lt;0.001). The thickness of talar cartilage was thinner compared to control subjects (p&lt;0.001). Among the patients, quadriceps muscle strength was positively correlated with medial condyle (r=0.377, p=0.024), intercondylar area (r=0.399, p=0.016) and lateral condyle(r=0.363, p=0.030) thicknesses. Knee VAS scores were negatively correlated with talar cartilage thicknesses (r=-0.393, p=0.018). CONCLUSIONS: We found a thinning of the distal femoral condyle in the more affected paretic sides of poliomyelitis patients as compared to both those of less affected sides and those of healthy controls. Talar cartilages on both sides of the patients were thinner compared to control subjects. CLINICAL REHABILITATION IMPACT: Our preliminary findings may contribute to the long-term management of patients with long-term poliomyelitis sequelae.

Název v anglickém jazyce

Ultrasonographic evaluation of the distal femoral and talar cartilage thicknesses in patients with poliomyelitis: a cross-sectional observational study

Popis výsledku anglicky

BACKGROUND: Sequelae of poliomyelitis, coupled with asymmetric impairment and weight- bearing, typically alter walking biomechanics which can be associated with the knee and ankle osteoarthritis. AIM: We aimed to investigate whether the distal femoral and talar cartilage thicknesses were different in patients with poliomyelitis. DESIGN: Cross-sectional observational study. SETTING: Outpatients, tertiary care center. POPULATION: 36 patients (12 M, 24 F) with a history of poliomyelitis and 36 age-, gender- and body mass index-matched healthy subjects (11 M, 25 F) were enrolled. Mean values for age, body mass index and age of the poliomyelitis onset were 70.2+-4.6 years, 27.2+-5.7 kg/m2, and 3.6+-2.4 years. METHODS: Visual analogue scale (VAS) was used to assess pain. Lower limb muscle strengths were measured by manual muscle testing. The more affected side was identified according to the lower limb manual muscle testing. Bilateral distal femoral cartilage from the lateral femoral condyle, intercondylar area, medial femoral condyle and talar cartilage thicknesses were measured using ultrasound imaging. RESULTS: Among patients, the onset of poliomyelitis was at 3.6+-2.4 years of age, and Functional Ambulation Category scores were 5 (3-5). VAS scores were similar between the sides affected more and less by poliomyelitis. All cartilage thicknesses (except the talar cartilage) of the patients were found to be thinner on the more affected side than the less affected side (all p&lt;0.001). The thickness of talar cartilage was thinner compared to control subjects (p&lt;0.001). Among the patients, quadriceps muscle strength was positively correlated with medial condyle (r=0.377, p=0.024), intercondylar area (r=0.399, p=0.016) and lateral condyle(r=0.363, p=0.030) thicknesses. Knee VAS scores were negatively correlated with talar cartilage thicknesses (r=-0.393, p=0.018). CONCLUSIONS: We found a thinning of the distal femoral condyle in the more affected paretic sides of poliomyelitis patients as compared to both those of less affected sides and those of healthy controls. Talar cartilages on both sides of the patients were thinner compared to control subjects. CLINICAL REHABILITATION IMPACT: Our preliminary findings may contribute to the long-term management of patients with long-term poliomyelitis sequelae.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30300 - Health sciences

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2020

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

European Journal of Physical and Rehabilitation Medicine

ISSN

1973-9087

e-ISSN

—

Svazek periodika

56

Číslo periodika v rámci svazku

4

Stát vydavatele periodika

IT - Italská republika

Počet stran výsledku

6

Strana od-do

421-426

Kód UT WoS článku

000570571400006

EID výsledku v databázi Scopus

2-s2.0-85091127331